MEDICARE: ASHLEY L BERTRAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1104782713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY L BERTRAND

Provider Business Mailing Address
First Line	:	2753 HARDIES LN
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2614
Country	:	US
Telephone Number	:	707-495-6174
Fax Number	:

Provider Business Practice Location Address
First Line	:	2753 HARDIES LN
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2614
Country	:	US
Telephone Number	:	707-495-6174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	12/27/2025

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Directions to “ ASHLEY L BERTRAND ” Practice Location

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